Monday, November 19, 2012

Defining Medical Necessity - Evidence based medicine for improving Quality and Cost Outcomes

Defining Medical Necessity - Evidence based medicine for improving Quality and Cost Outcomes. United Healthcare Medical Necessity Overview - Based upon a foundation of evidence-based medicine, Medical Necessity is the process for determining benefit coverage and/or provider payment for services, tests, or procedures which are medically appropriate and cost-effective for the individual member.

http://medical.wesrch.com/paper-details/pdf-ME1MS1SKBNLFX-defining-medical-necessity-evidence-based-medicine-for-improving-quality-and-cost-outcomes

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